Ins/rpl wireless pulm art sensor incl s&i at Clara Maass Medical Center
1 Clara Maass Dr, Belleville, NJ · RWJBarnabas Health · · NPI 1902901333
$3,986.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$14,974.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$232.85 with Horizon Blue Cross Blue Shield of New Jersey vs $63,469.68 with Wellcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $232.85 | ↓ -94% |
| United Healthcare | Community Plan | $1,907.68 | ↓ -52% |
| Fidelis Care | NJ Family Care | $1,943.62 | ↓ -51% |
| Aetna | Better Health | $2,088.87 | ↓ -48% |
| Wellpoint | NJ Family Care | $3,266.00 | ↓ -18% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $6,299.56 | ↑ +58% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $7,825.41 | ↑ +96% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $8,018.57 | ↑ +101% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $8,268.64 | ↑ +107% |
| First Health | Commercial | $8,984.40 | ↑ +125% |
| Aetna | PPO | $9,446.00 | ↑ +137% |
| Aetna | HMO | $9,446.00 | ↑ +137% |
| Amerihealth | Regional Preferred | $11,281.41 | ↑ +183% |
| Amerihealth | Local Value | $11,281.41 | ↑ +183% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $13,142.67 | ↑ +230% |
| United Healthcare | Oxford Metro | $13,431.00 | ↑ +237% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $14,294.18 | ↑ +259% |
| United Healthcare | Oxford Commercial | $15,081.00 | ↑ +278% |
| United Healthcare | Nexus | $15,765.00 | ↑ +296% |
| United Healthcare | Commercial | $18,547.00 | ↑ +365% |
| Aetna | Medicare | $31,894.31 | ↑ +700% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $31,894.31 | ↑ +700% |
| Fidelis Care | Medicare Advantage | $31,894.31 | ↑ +700% |
| Wellpoint | Medicare Advantage | $31,894.31 | ↑ +700% |
| Humana | Medicare | $31,894.31 | ↑ +700% |
| Clover Health | Medicare Advantage | $31,894.31 | ↑ +700% |
| United Healthcare | Medicare | $32,532.20 | ↑ +716% |
| Emblem Health | Commercial | $55,815.04 | ↑ +1300% |
| Wellcare | Ambetter Health Commercial | $63,469.68 | ↑ +1492% |
| Qualcare Inc | PPO/WC | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Cigna | Local Plus | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl wireless pulm art sensor incl s&i at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $164.89 – $62,137.50 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $232.85 – $63,788.62 |
| Community Medical Center | Toms River | $3,786.00 | $232.85 – $61,826.81 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $169.74 – $63,788.62 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $213.39 – $66,623.03 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $232.85 – $62,617.70 |
| Bayshore Medical Center | Holmdel | $31,466.18 | $2,195.00 – $34,298.14 |
| Hackensack University Medical Center | Hackensack | $33,478.91 | $211.08 – $35,152.85 |